Title Page

Market And Inspector

  • Market

  • Inspector

  • Date and Time

Location

  • AOA Property ID

  • Structure #

  • Type (Perpetual Easement or Fee Simple)

  • Location Description (Site at)

  • Number of Structures

  • Number of Posters

  • Number of Bulletins

  • Number of Digitals

Type of Property Being Inspected

  • Size of Lot

  • Type - Rural/Urban

Site Inspection

Answer The Following Questions With Yes, No or N/A

  • Are the proper NO TRESSPASSING signs on the property?

  • Are there indications of unauthorized access?

  • Is the property in good condition?<br>(grass and/or brush cut, paper and trash picked up, no broken glass or<br>other hazards, fence, etc)

  • Was a thorough walk around inspection of the entire property done? (including perimeter)

  • Is electrical equipment servicing the structure free of (potential) hazards? (service drop too low, ground rod exposed, meter base/panel exposed)

  • If there are any problems or potential hazards noted above, please explain in detail below. Please indicate below the positive actions taken to resolve any issues.

Signatures

  • Operations Manager Signature

  • General Manager Signature and Date

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